- Enrollment id
- O20140904000469
- Enrollment state
- AZ
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1104237502
- Multiple npi flag
- N
- Ccn
- 031635
- Associate id
- 3971721903
- Organization name
- INTEGRITY HOSPICE CARE LLC
- Incorporation date
- 2014-04-04
- Incorporation state
- AZ
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 6877 S KINGS RANCH RD
- Address line 2
- STE 1
- City
- GOLD CANYON
- State
- AZ
- Zip code
- 851182997